Dr. Mark L. Civin
Dentist, General Practice in Palm Beach Gardens, FL. Individual provider (NPI-1).
NPI number1699985176
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1699985176
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark L. Civin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8487 | FL | Yes |
Practice location
5600 Pga BlvdSuite 102a
Palm Beach Gardens, FL 33418-3900
Phone 561-624-2224
Mailing address
5600 P.G.A. BlvdSuite 102 A
Palm Beach Gardens, FL 33418
Phone 772-545-9292
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All 66 General Practice Dentistry providers in Palm Beach Gardens · All 3,446 providers in Palm Beach Gardens
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